| NPI | 1235186271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | R. JOSEPH LIBBY President 207-947-8861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME 2775) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-08-22 |